Organization
VICTOR TIRADO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR TIRADO-MONTANEZ MD (OWNER)
(860) 372-4731
Entity
Organization
Contact information
Practice address
929 SILAS DEANE HWY, 2ND FLOOR WEST, WETHERSFIELD, CT 06109-4220
(860) 372-4731
(860) 372-4730
Mailing address
929 SILAS DEANE HWY, 2ND FLOOR WEST, WETHERSFIELD, CT 06109-4220
(860) 372-4731
(860) 372-4730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
042939
CT
Other
Enumeration date
08/20/2009
Last updated
07/19/2012
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